In the doffing sequence, which item is removed last?

• A. Mask/Respirator
• B. Gloves
• C. Gown
• D. Goggles/Face shield

Answer: (A)

Doffing PPE is done in an order that minimizes self-contamination by removing the most contaminated items first and keeping the cleanest surface for last. The gloves are taken off first because they are the most likely to be contaminated from contact with the patient. The gown and eye protection come off next, in turn, to prevent transfer of contaminants from their surfaces. The mask or respirator is removed last because its front surface is most likely contaminated and removing it last reduces the chance of touching contaminated areas near your mouth and nose; you handle it by the straps or ties and then perform hand hygiene to finish.